Individual
MONA OLMOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6095 N 1ST ST, FRESNO, CA 93710-5444
(559) 446-1515
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
62114
CA
363AS0400X
Surgical Physician Assistant
62114
CA
Other
Enumeration date
05/20/2022
Last updated
01/16/2025
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